Individual
CHRIS K. BURSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22 W CRYSTAL LAKE AVE, CRYSTAL LAKE, IL 60014-6104
(815) 459-9900
Mailing address
22 WEST CRYSTAL LAKE AVENUE, CRYSTAL LAKE, IL 60014
(815) 459-9900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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